Premier Podiatry, L.L.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PREMIER PODIATRY, L.L.C.

Practice address

925 Clifton Ave Ste 108
Clifton, NJ 07013-2724

Phone

(973) 315-5555

Fax

(866) 756-0438

NPI assigned

Sep 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Velimir Rumenov Petkov, DPMNPI 1932372638

Title

President/ Owner

Phone

(917) 667-4585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Premier Podiatry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Podiatry, L.L.C.

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1417524224
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Premier Podiatry, L.L.C.

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1417524224

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Velimir Rumenov Petkov, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clifton, NJ
  • NPI 1932372638

  Foot & Ankle Surgery, NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Dainelle Larissa Morris, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clifton, NJ
  • NPI 1538746755

  Foot & Ankle Surgery, NJ

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1578046918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CLIFTON AVE STE 108",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132724",
            "telephone_number": "973-315-5555",
            "fax_number": "866-756-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CLIFTON AVE STE 108",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132724",
            "telephone_number": "973-315-5555",
            "fax_number": "866-756-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PODIATRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "PETKOV",
        "authorized_official_first_name": "VELIMIR",
        "authorized_official_middle_name": "RUMENOV",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "917-667-4585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Healthcare Services PC
• Premier Medical of NJ
• Premier Neuromonitoring LLC
• Premier Orthocare
• Premier Pain Management LLC
• Premier Rehab Plus LLC
• Premier Spine & Pain Management PC
• Premier Surgery and Anesthesia LLC
• Premier Surgery Center of Clifton LLC
• David Mitchell Press, DMD

• All providers in Clifton, NJ
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.